Individual
TARI NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM, CMT
Contact information
Practice address
351 FALL CREEK DR, FELTON, CA 95018-9338
(831) 421-4180
(831) 335-9591
Mailing address
351 FALL CREEK DR, FELTON, CA 95018-9338
(831) 421-4180
(831) 335-9591
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
322
CA
Other
Enumeration date
09/06/2011
Last updated
11/08/2011
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